Headache in cerebrovascular disease

Headache in cerebrovascular disease

Two hundred fifteen consecutive patients with cerebrovascular events were evaluated prospectively for the incidence and characteristics of headache. Of 163 patients able to communicate, headache occurred in 29% with bland infarcts, 57% with parenchymal hemorrhage, 36% with transient ischemic attacks...

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Bibliographic Details
Published in:Stroke (1970) Vol. 15; no. 6; pp. 1009 - 1012
Main Authors: PORTENOY, R. K, ABISSI, C. J, LIPTON, R. B, BERGER, A. R, MEBLER, M. F, BAGLIVO, J, SOLOMON, S
Format: Journal Article
Language:English
Published: Hagerstown, MD Lippincott Williams & Wilkins 01-11-1984
Subjects:
Adolescent
Adult
Aged
Biological and medical sciences
Cerebral Hemorrhage - complications
Cerebral Infarction - complications
Cerebrovascular Disorders - complications
Female
Headache - etiology
Humans
Ischemic Attack, Transient - complications
Male
Medical sciences
Middle Aged
Neurology
Prospective Studies
Recurrence
Sex Factors
Vascular diseases and vascular malformations of the nervous system
Human
Headache
Cerebral infarction
Nervous system diseases
Cerebral hemorrhage
Cerebrovascular insufficiency
Transitory
Cerebrovascular disease
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Summary:Two hundred fifteen consecutive patients with cerebrovascular events were evaluated prospectively for the incidence and characteristics of headache. Of 163 patients able to communicate, headache occurred in 29% with bland infarcts, 57% with parenchymal hemorrhage, 36% with transient ischemic attacks and 17% with lacunar infarcts. Patients with a history of recurrent throbbing headache were significantly more likely to have headache, usually throbbing in quality, during the present illness. Women developed headache significantly more often than men. Headache began prior to the vascular event in 60% of patients and at its onset in 25%. The quality, onset and duration of the headache varied widely among patients. Headache in cerebrovascular disease is common, though neither its occurrence nor characteristics predict lesion type or location. Though the pathogenesis of the headache is unknown, its association with prior throbbing headache suggests that similar factors may operate in both.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0039-2499
1524-4628
DOI:10.1161/01.STR.15.6.1009